Get the free 911 Functional Needs Registry Form - Village of Oak Park - oak-park

911 Functional Needs Registry The Village of Oak Park Department of Public Health 123 Madison St. Oak Park, IL 60302 708.358.5480 health oak park.us www.oakpark.us INTRODUCTION This form authorizes

How to fill out 911 functional needs registry

How to fill out 911 functional needs registry:

1. Visit the official website or contact your local 911 emergency services department to obtain the necessary forms for the functional needs registry.
2. Fill out the required personal information, including your name, address, phone number, and any other requested contact details.
3. Provide relevant medical information, such as any existing medical conditions, disabilities, or special needs that may affect your ability to communicate or respond in an emergency situation.
4. Include emergency contact information for a family member or friend who can be notified in case of an emergency or when assistance is needed.
5. If applicable, provide information about the specific equipment or accommodations you may require during an emergency, such as a wheelchair, hearing aids, or a service animal.
6. Indicate any language preferences or communication needs that responders should be aware of when providing assistance.
7. Once you have completed the form, review it for accuracy and make sure all necessary information is provided.
8. Submit the filled-out form to the appropriate authorities. Follow any instructions provided on where to submit the form or how to complete the registration process.

Who needs 911 functional needs registry:

1. Individuals with physical disabilities: If you have a physical disability that may limit your mobility, communication, or ability to evacuate during an emergency, it is important to register yourself on the 911 functional needs registry.
2. People with chronic medical conditions: If you have a chronic medical condition that may require specialized treatment or medications during an emergency, it is crucial to ensure that emergency responders are aware of your needs.
3. Those with communication difficulties: If you have difficulties communicating due to speech or hearing impairments, it is essential to register on the functional needs registry so that emergency responders can provide appropriate assistance and accommodations.
4. Individuals with cognitive impairments: If you or a loved one has a cognitive impairment or developmental disability that may affect comprehension, decision-making, or following emergency instructions, registering on the functional needs registry is vital.
5. Elderly individuals: Older adults who may have specific medical conditions or mobility challenges that require assistance during emergencies should consider registering on the 911 functional needs registry.
6. People with temporary injuries or medical conditions: Even if you have a temporary injury or medical condition that requires additional assistance during emergencies, it is beneficial to register on the functional needs registry to ensure appropriate support is provided when needed.

Remember, the specific requirements for the functional needs registry may vary based on location, so it is recommended to investigate your local 911 emergency services for accurate information.

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What is 911 functional needs registry?

The 911 functional needs registry is a database or system that contains information about individuals with disabilities or special needs who may require assistance during emergency situations.

Who is required to file 911 functional needs registry?

Individuals with disabilities or special needs, or their caregivers or legal guardians, are required to file the 911 functional needs registry.

How to fill out 911 functional needs registry?

To fill out the 911 functional needs registry, individuals can contact their local emergency management agency or visit their website to access the registry form.

What is the purpose of 911 functional needs registry?

The purpose of the 911 functional needs registry is to ensure that individuals with disabilities or special needs receive the necessary assistance and support during emergency situations.

What information must be reported on 911 functional needs registry?

The information that must be reported on the 911 functional needs registry includes the individual's name, contact information, type of disability or special need, and any specific assistance or accommodations required during an emergency.